HomeMy WebLinkAbout162796 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $55.80
CARMEL
INDIANAPOLIS IN 46278
asry `o CHECK NUMBER: 162796
CHECK DATE: 8/20/2008
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
2201 4231100 008936919 55.80 BOTTLED GAS
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 1 PAGE: 1
ONCE P.O. BOX 78588 INVOICE: 00896919
INDIANAPOLIS, IN 46278 -0588 INV DATE: 07/31/08
f' 317- 290 -0003 SALESPERSON: 0 0 0 1 TERR: 007
BRANCH: 004
P /O:
TERMS: NET 3 0
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST P 34 W 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074
T T
O O
INVOICE AMOUNT: 55.80
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
INV ITEM' INVOICE DATE INVOICE B EGINNING SHIPPED RETURNED :ENDING LEASED 'gAUDAYS CYLINDER" EXTENDED
P BALANCE BALANCE CYLINDERS RATE, _A
R 050 1 0 0 1 0 31 .290 8.99
R 11X 1 0 0 1 1 0 .290 .00
R 147 2 0 0 2 0 62 .320 19.84
R 220 2 0 0 2 0 62 .290 17.98
R 330 1 0 0 1 0 31 .290 8.99
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 55.80
TOTAL loo
3400 �N 131ST ST INVOICE; 00896919
WESTFIELD IN 46074 INVOICEDATE: 07/31/08
TOTAL CYL VALUE: 1400.00 P /O:
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$55.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 00896919 42- 311.00 $55.80 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, August 14, 2008
Street missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/31/08 00896919 $55.80
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer